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Implementing pediatric growth charts into an electronic health record system
S Trent Rosenbloom1, XiaoFeng Qi, William R Riddle
1Department of Biomedical Informatics, School of Nursing, Vanderbilt University, Nashville, TN 37232-8340, USA. trent.rosenbloom@vanderbilt.edu
Journal of the American Medical Informatics Association : JAMIA
|February 28, 2006
Summary
Integrating electronic health record (EHR) systems with growth charts in pediatric care significantly increased data documentation and chart usage. This digital approach enhances functionality beyond traditional paper charts.
Area of Science:
- Pediatric Health Informatics
- Clinical Systems Integration
- Growth Monitoring Technologies
Background:
- Electronic health record (EHR) adoption is rising in pediatric settings.
- Current EHR systems lack standardized, integrated growth chart functionality.
- This gap hinders efficient pediatric growth monitoring.
Purpose of the Study:
- To integrate growth chart capabilities into an EHR system.
- To evaluate the impact of integrated growth charts on data documentation and usage in a pediatric clinic.
- To understand user expectations for electronic growth chart functionality.
Main Methods:
- Development and implementation of integrated growth chart functionality within an EHR system.
- A three-year observational study in a multispecialty pediatric clinic.
- Quantitative analysis of electronically documented growth measurements and chart access rates.
Main Results:
- Significant increases in electronically documented weight, stature, and head circumference values were observed (p<0.001).
- Daily documentation rates rose from under ten to hundreds of values per weekday.
- Average daily access to electronic growth charts reached 175 instances, exceeding patient visit counts.
Conclusions:
- Integrated EHR growth charts demonstrably improve data capture and utilization in pediatric practices.
- Electronic growth charts offer enhanced data manipulation and customization compared to paper versions.
- Future EHR development should consider advanced functionalities to meet user expectations for digital growth monitoring tools.
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